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REMOTE SPONSOR REGISTRATION
Complete the form below to register as a remote sponsor for the 79th Annual Meeting, taking place in Fredericton from May 30 to June 2, 2025.
Remote Sponsorship Registration Form
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Last
Position
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Enter Email
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Panama
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Portugal
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Russian Federation
Rwanda
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Saint Kitts and Nevis
Saint Lucia
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Samoa
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Saudi Arabia
Senegal
Serbia
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Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
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South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Are you the main contact for this company?
(Required)
Yes
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Main Contact
Name
First
Last
Position
Phone
Email
Sponsorship Opportunity Selection
What Opportunity are You Interested in Sponsoring?
Please note that you can select multiple opportunities and mix and match them to suit your preferences and customize your sponsorship experience.
Youth Choir Sponsorship
5K Run Sponsorship
Sunrise Yoga Sessions Sponsorship
Council Dinner Entertainment Sponsorship
Welcome Reception Entertainment Sponsorship
Mentorship Awards Sponsorship
Childcare Sponsorship
Photography Sponsorship
Saturday Boat Cruise Sponsorship
Sunday Boat Cruise Sponsorship
Therapeutic Elements Sponsorship
Gamification Passport Sponsorship
Dave Myles Entertainment Sponsorship
Council Dinner Entertainment Sponsorship
Price:
Youth Choir Sponsorship
Price:
5k Run Sponsorship
Price:
Sunrise Yoga Sponsorship
Price:
Welcome Reception Entertainment Sponsorship
Price:
Childcare Sponsorship
Price:
Mentorship Awards Sponsorship
Price:
Saturday Boat Cruise Sponsorship
Price:
Sunday Boat Cruise Sponsorship
Price:
Photography Sponsorship
Price:
Therapeutic Elements Sponsorship
Price:
Gamification Passport Sponsorship
Price:
Dave Myles Entertainment Sponsorship
Price:
Total
How will you be paying?
Cheque
Credit Card
E-transfer
Credit Card Information
Name on Card
Credit Card Number
Security Digits
Credit Card Expiry (MM/YY)
Billing Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
E-Transfer Information
NOTICE: Please ensure to include the name of your sponsoring business (not parent company) when sending the EFT. E-transfer can be sent to membership@csohns.org
Cheque Mailing Information
Please make the cheque payable to the 'Canadian Society of Otolaryngology-Head & Neck Surgery' Mailing Address: Samantha Pollock, National Director, 255 Minnesota Street, Collingwood, ON L9Y3S4
Repersentative Add-on
Your total spending has exceeded $3,000 CAD. As a token of our appreciation, we are pleased to offer complimentary admission for one representative to attend the 79th Annual Meeting.
Representative's Contact Information
First
Last
Phone
Email
CSO-HNS POLICY
Terms & Conditions
(Required)
I understand that full payment is due upon receiving an invoice from the CSO-HNS, and that I will not be eligible for a payment schedule.
I understand that each sponsorship opportunity is subject to availability. While the CSO-HNS will update the list of available opportunities as they are reserved, I acknowledge that I will not be entitled to my selected sponsorship until it has been officially confirmed by the CSO-HNS office via email.
I have thoroughly reviewed the off-site sponsorship prospectus and fully understand the benefits to which I am entitled, as well as the limitations associated with my status as an off-site sponsor.
As an off-site sponsor, I acknowledge and understand that this sponsorship is an exclusive opportunity that does not provide the same benefits as the Exhibitor, Bronze, Silver, Gold, Platinum, or Diamond sponsorship levels.
I understand that my company’s attendance at the event is neither required nor compensated by the Canadian Society of Otolaryngology – Head & Neck Surgery (CSO-HNS). If I wish to attend, I am responsible for purchasing admission at my own cost, unless my sponsorship value exceeds $3,000.00 CAD. In that case, I will receive one complimentary admission ticket.
Please note that this complimentary admission excludes any travel and accommodation expenses, which I will be responsible for covering on my own.
Checking this box is equivalent to an electronic signature
Comments
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